{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:40:25Z","timestamp":1756287625068,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,5,29]]},"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p>An infant girl first presented with recurrent episodes of non-bilious vomiting, having had five hospitalisations over the following months because of dehydration. Laboratory data showed no inflammatory response, normal pancreatic amylase, but increased lipase levels (between 67 and 425\u2009U\/L). Several abdominal ultrasound studies suggested an intestinal duplication cyst on left hypochondrium and, later, a dilated and irregular pancreatic duct. CT showed a bifid tailed pancreas and a change in the cyst\u2019s characteristics. A communication with the pancreatic duct was hypothesised, which was confirmed on MR cholangiopancreatography. On laparoscopic surgery, the cyst was confirmed to be at the end of the caudal side of the pancreatic bifid tail, having no communication with the stomach. Cystectomy with partial pancreatectomy was performed with pathological findings confirming a gastric duplication cyst originating from the pancreatic bifid tail. At latest follow-up, 4\u2009months after surgery, she remains asymptomatic.<\/jats:p>","DOI":"10.1136\/bcr-2022-254019","type":"journal-article","created":{"date-parts":[[2023,6,23]],"date-time":"2023-06-23T09:54:05Z","timestamp":1687514045000},"page":"e254019","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Gastric duplication cyst of a bifid pancreas: cause of recurrent vomiting"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6416-6841","authenticated-orcid":false,"given":"Rita","family":"Pina-Prata","sequence":"first","affiliation":[{"name":"Radiology Department, King's College London, Evelina London Children's Hospital, London, UK"},{"name":"Radiology Department, Centro Hospitalar Universit\u00e1rio Lisboa Central EPE, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipa","family":"Rosa","sequence":"additional","affiliation":[{"name":"Anatomical Pathology Department, Instituto Portugu\u00eas de Oncologia de Lisboa Francisco Gentil EPE, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00eas","family":"Fontes","sequence":"additional","affiliation":[{"name":"Paediatric Department, Hospital Dona Estef\u00e2nia, Centro Hospitalar Universit\u00e1rio Lisboa Central EPE, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Mor\u00e3o","sequence":"additional","affiliation":[{"name":"Paediatric Surgery Department, Hospital Dona Estef\u00e2nia, Centro Hospitalar Universit\u00e1rio Lisboa Central EPE, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,6,22]]},"reference":[{"key":"2025082702114896000_16.6.e254019.1","doi-asserted-by":"crossref","first-page":"e13","DOI":"10.1016\/j.jpedsurg.2011.04.056","article-title":"Enteric duplication Cyst of the Pancreas with duplicated Pancreatic duct","volume":"46","author":"Fujishiro","year":"2011","journal-title":"J Pediatr Surg"},{"key":"2025082702114896000_16.6.e254019.2","unstructured":"Russel K, Holcomb III G . Alimentary tract duplications. In: Holcomb G , Murphy JP , Peter S , eds. Holcomb and Ashcraft's pediatric surgery. 7th Edition. 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